KIMBERLY R KOUNTZ (LMSW) – Social Worker, NPI 1689393167

KIMBERLY R KOUNTZ (LMSW) is a healthcare provider. based in Saint joseph, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 2022018087 (MO). The NPI Number for KIMBERLY R KOUNTZ (LMSW) is 1689393167

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY R KOUNTZ (LMSW)
NPI
1689393167
Phone
(816) 262-6969
Address
724 N 22ND ST
Enumeration Date
26 August 2022
Last Update Date
26 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8163641501
Graduation Year
2022 (4 years ago)
PAC ID
7012433469
Group Practice PAC ID
6800707571
Professional Enrollment ID
I20250429000943
Address ID
MO645062604SA724XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

Provider Addresses for KIMBERLY R KOUNTZ (LMSW)

  • 724 N 22ND ST

    SAINT JOSEPH, MO 645062604

    Phone: (816) 262-6969

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250429000943IClinical Social WorkerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800707571View full group profile
NameSpecialtyState
Nurse PractitionerMO
Mental Health CounselorMO
P S Y C H I A T R YMO
Mental Health CounselorMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Clinical Social WorkerMO
Nurse PractitionerMO
Clinical Social WorkerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to KIMBERLY R KOUNTZ (LMSW)?
NPI 1689393167 is assigned to KIMBERLY R KOUNTZ (LMSW) under the national enumeration system.
Does this profile mean KIMBERLY R KOUNTZ (LMSW) is currently active?
Yes — KIMBERLY R KOUNTZ (LMSW) appears active in the national provider directory.
What kind of provider is KIMBERLY R KOUNTZ (LMSW)?
The page reflects Social Worker for KIMBERLY R KOUNTZ (LMSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for KIMBERLY R KOUNTZ (LMSW)?
The page summarizes Saint Joseph, Missouri for KIMBERLY R KOUNTZ (LMSW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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